摘要
目的探讨一日病房管理实践模式对妊娠期糖尿病（Gestational Diabetes Mellitus，GDM）患者进行生活干预的效果，为制订指导方案提供依据。方法选取在产科门诊经OGTT试验确诊为GDM，并在该院产检、分娩的患者390例，随机分为干预组和对照组各195例。对照组采用传统的GDM健康教育方式进行指导；干预组在传统健康教育的基础上让患者参加GDM一日病房培训与学习，并定期对患者进行电话追踪访视，比较两组患者孕期、产后GDM知识及血糖监测方法掌握情况及不同时段血糖值及妊娠结局。结果干预组在GDM相关知识及监测血糖方法的掌握方面，产妇分娩孕周、母儿结局以及产后42d血糖监测方面与对照组相比，差异均有统计学意义（均P〈0．05）；一日病房管理实践模式在GDM患者中实施，其满意度达到98．5％。结论一日病房管理实践模式可有效控制GDM患者血糖，降低患者及新生儿围生期并发症的发生率。
Objective To explore the effect of the daily ward management practice on the life intervention of gestational diabetes mellitus （GDM） patients, and provide the basis for the development of the guidance plan. Meth- ods A total of 390 patients with GDM confirmed by OGTF in the obstetrical clinic and in our hospital were selected and were randomly divided into intervention group and control group, 195 cases of each group. The control group was guided by the traditional GDM health education method. With regard to the intervention group, the patients participated in GDM one-day ward training and learning based on traditional health education. In addition, . regular phone follow-up visit was conducted to patients. The knowledge of GDM and blood glucose monitoring were compared between the two groups. The blood glucose and pregnancy outcomes were compared between the two groups. Results The differences were statistically significant between the two groups in GDM related knowledge and the monitoring of glucose control methods, maternal birth and child outcomes, maternal outcomes and 42 days postpartum blood glucose monitoring （P〈 0.05 ）. One day ward management practice mode was implemented in patients with GDM, and its satisfaction reached 98.5%. Conclusions A one-day ward management practice model can effectively control the blood glucose of patients with GDM, and reduce the incidence of complications in patients and neonatal perinatal period.
出处
《国际护理学杂志》
2018年第2期222-226,共5页
international journal of nursing
关键词
妊娠期糖尿病
一日病房
血糖
并发症
妊娠结局
Gestational diabetes mellitus
One day ward
Blood glucose
Complications
Pregnancy outcome
